Individual provider Active NPI

Daniel James Sutherland, OT

  • Occupational Therapist
  • Lexington, KY
National Provider Identifier
1710755087
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
289351 Issued in KY
Practice address
2355 Huguenard Dr Ste 201
Lexington, KY 40503-3010
Phone
(859) 381-7620
NPI assigned
Dec 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 289351 KY Primary

Addresses

Primary practice location

2355 Huguenard Dr Ste 201
Lexington, KY 40503-3010

Mailing address

3216 Sweet Clover LN
Lexington, KY 40509-8580

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 8594074696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209002895 KY Practitioner - Occupational Therapist in Private Practice 3375986995 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
289351KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Therapies, PLLC Occupational Therapist CurrentSince Jan 9, 2024 Accepting new patients

Locations

2355 Huguenard Dr
Ste 201A
Lexington, KY 40503
Phone (859) 381-7620

2355 Huguenard Dr
Ste 201
Lexington, KY 40503
Phone (312) 722-7221

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1710755087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 SWEET CLOVER LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HUGUENARD DR STE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033010",
            "telephone_number": "859-381-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "289351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8594074696",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "2355 Huguenard Dr Ste 201",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405033010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.